1915 Aerotech Drive, Ste 100, Colorado Springs, CO 80916
719-447-8983
ZACH'S PLACE CHILDREN'S CENTER
JOEY'S PLACE ADULT DAY CENTER
BEHAVIORAL HEALTH SERVICES
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Thank you for your interest in volunteering with Special Kids Special Families! Please fill out the application and we will contact you with any available volunteer opportunities. Please contact the SKSF Volunteer Coordinator at 719-447-8983 or SKSFvolunteer@sksfcolorado.org if you have any questions.
Contact Name (required)
Organization/Company Name (if applicable)
Home Phone
Cell Phone
Email address (required)
Address
City
State
Zip Code
Would you like to subscribe to your E-Newsletter?
YESNO
Are you 18 years & older?
Date of Birth:
What are your volunteer interests? (choose as many as you'd like)
Admin/Office dutiesSpecial EventsFundraisingZach's PlaceAdult ServicesBoard MembershipOutdoor/LandscapingMaintenance (painting, cleaning, sweeping, windows, etc..)Whatever is needed
What is your availability?
MON:Morning 8-12Afternoon 12-5Anytime 8-5Evening 5+ TUE:Morning 8-12Afternoon 12-5Anytime 8-5Evening 5+ WED:Morning 8-12Afternoon 12-5Anytime 8-5Evening 5+ THU:Morning 8-12Afternoon 12-5Anytime 8-5Evening 5+ FRI:Morning 8-12Afternoon 12-5Anytime 8-5Evening 5+ SAT:Morning 8-12Afternoon 12-5Anytime 8-5Evening 5+ SUN:Morning 8-12Afternoon 12-5Anytime 8-5Evening 5+ Specific Date:Specific Time: Specific Date:Specific Time: Specify availability:
Do you have any restrictions, special needs or other information we should know about you?
PLEASE ANSWER THE QUESTIONS BELOW. IF YOU ANSWER YES TO ANY QUESTIONS, PLEASE EXPLAIN.
Have you ever been convicted of a felony? NOYES-please explain:
Have you ever been convicted of a crime against children or another person? NOYES-please explain:
Has your Driver's License ever been suspended or revoked within the past 3 years? NOYES-please explain:
Have you ever been reviewed by other organizations and have been restricted from involvement with children, youth or adults? NOYES-please explain:
------------------------------------------------------------------------------------------------------------------------------------- Copies of your Driver's License and proof of auto insurance must be on file in order to transport our clients on field trips. By pressing SUBMIT, I agree that all information in this application is accurate to the best of my knowledge. As a condition of being permitted to volunteer for Special Kids Special Families, I freely accept and voluntarily assume the risks of personal injury or property damage that may result from my volunteer experience. I hereby agree to waive any and all claims arising out of any such injuries or damages. I also give permission to administer emergency medical care if needed.
Date of application:
Name of volunteer (please print name as this will be accepted as your signature):
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